提高执业护士的技能和信心:对农村和医疗服务不足社区的研究生培训的评估
Christian Ketel1, Natasha McClure, Tonya Elkins
1Vanderbilt University School of Nursing, Nashville, Tennessee.
Journal of the American Association of Nurse Practitioners
|August 13, 2024
概括
结构化的执照后培训 (PLT) 计划显著提高实践护士 (NP) 在患者护理和基于证据的实践方面的技能. 对于NP的领导指导,需要进一步发展.
科学领域:
- 护理教育 护理教育
- 医疗保健劳动力发展工作人员
- 主要护理是指初级护理.
背景情况:
- 执业护士 (NPs) 在初级保健中至关重要,特别是在农村和服务不足的地区.
- 从学术环境向临床实践的过渡给国家医生带来了挑战.
- 结构化的执照后培训 (PLT) 对于NP的专业发展至关重要.
研究的目的:
- 评估PLT计划对NP临床发展,信心和护理提供的影响.
- 通过创新的评估方法解决NP培训中的知识差距.
主要方法:
- 采用了混合方法的方法,涉及19名NP研究员.
- 通过REDCap平台收集了定量和质量数据.
- 评估重点是临床技能,指导和实际应用.
主要成果:
- 在以患者为中心的护理 (p = .005),基于证据的实践知识 (p = .028) 和卫生系统理解 (p = .014) 中观察到显著改善.
- 质量反强调了结构化支持和实践学习的价值.
- 该研究发现需要加强导师准备能力.
结论:
- 该PLT计划有效地提高了NP能力,特别是在以患者为中心和基于证据的护理方面.
- 对于专注于培养NP领导能力的指导,有极大需求.
- 未来的研究应该验证各种环境中的发现,并检查长期结果.
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